Donald C. Rifas, MD
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Rifas DC. Adverse Events following Discharge from the Hospital. Ann Intern Med. 2004;140:231. doi: 10.7326/0003-4819-140-3-200402030-00018
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Published: Ann Intern Med. 2004;140(3):231.
TO THE EDITOR:
Forster and colleagues (1) would have us believe that adverse events occur only as a result of physician lapses, inattention, or simple ignorance. Although these may be important factors, a significant contribution to adverse posthospital events may lie within the medical system itself.
Health maintenance organizations and other managed care entities are basking in the profits they make by denial of care; procedures; and, more important for this discussion, certain drugs. My colleagues and I in the United States are aware of consistent posthospital denial of drugs we have prescribed. Days may pass before the correct drug or any drug is delivered. In the meantime, given that the patient needs the therapy, adverse events can occur and can frequently lead to hospital readmission.
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